| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $6.76 | $6.76 | $6.76 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Capital Blue Cross
| Professional | $14.13 | $14.13 | $14.13 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 | |
Highmark BCBS
| Facility | $7.94 | $7.94 | $7.94 | |
United
| Professional | $27.54 | $27.54 | $27.54 |